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Comparison of accredited person and medical officer discharge decisions under the Mental Health Act of NSW: A cohort study of deliberate self-poisoning patients.

Aust N Z J Psychiatry 2021 May 5:48674211009613. Epub 2021 May 5.

Centre for Brain and Mental Health Research, The University of Newcastle, Newcastle, NSW, Australia.

Background: The Accredited Persons Programme was introduced in 2003. The relevant (NSW) authorised reviews by appropriately credentialed non-medical health professionals as part of the process of detaining and treating a person without consent: an authority previously held by medical officers. Evaluations of the Programme are needed. Read More

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An Admixture Approach to Trihybrid Ancestry Variation in the Philippines with Implications for Forensic Anthropology.

Hum Biol 2018 Aug;90(3):177-195

DeBusk College of Osteopathic Medicine, Lincoln Memorial University, Harrogate, Tennessee, USA.

In this study, we investigated, for the first time from a forensic anthropological perspective, the question of mixed ancestry estimation for modern Filipinos with geographic origins in the Philippines. We derived estimates of continental ancestry using craniometrics from four sources: a new documented collection of current forensic significance from the Manila North Cemetery; the Howells cranial series representing a sample of unclaimed individuals from Manila but said largely to originate from more remote areas, with dates of death before 1940; the Hanihara sample aggregated from various locations and time periods across the Philippines; and the Hanihara series capturing various local indigenous, ethnic groups that are together identified as Philippine Negrito. Parental craniometrics were selected from the Howells data set and more recently collected samples from Europe and Asia. Read More

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[Pediatric foreign body. A two case report.]

Arch Esp Urol 2021 May;74(4):449-454

Servicio de Urología Pediátrica. Hospital de Niños "Víctor J. Vilela". Rosario. Prov. Santa Fe. Argentina.

Introduction: Urethral insertion of foreign bodies is an infrequent emergency, being it exceptionally rare in prepubertal children. Both clinical presentation and the introduced elements are varied. Although sexualabuse and mental disorders must always be considered, these events are mainly related to the children's own  body self-discovery without any sexual connotation. Read More

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Australia in 2030: what is our path to health for all?

Med J Aust 2021 05;214 Suppl 8:S5-S40

CHAPTER 1: HOW AUSTRALIA IMPROVED HEALTH EQUITY THROUGH ACTION ON THE SOCIAL DETERMINANTS OF HEALTH: Do not think that the social determinants of health equity are old hat. In reality, Australia is very far away from addressing the societal level drivers of health inequity. There is little progressive policy that touches on the conditions of daily life that matter for health, and action to redress inequities in power, money and resources is almost non-existent. Read More

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COVID-19-Related Stress and Anxiety, Body Mass Index, Eating Disorder Symptomatology, and Body Image in Women from Poland: A Cluster Analysis Approach.

Nutrients 2021 Apr 20;13(4). Epub 2021 Apr 20.

Institute of Pedagogy, University of Bielsko-Biala, Willowa 2, 43-309 Bielsko-Biala, Poland.

To limit the spread of the novel coronavirus (COVID-19), many countries have introduced mandated lockdown or social distancing measures. Although these measures may be successful against COVID-19 transmission, the pandemic and attendant restrictions are a source of chronic and severe stress and anxiety which may contribute to the emergence or worsening of symptoms of eating disorders and the development of negative body image. Therefore, in this study, we aimed to: (1) classify different conditions associated with COVID-19-related stress, COVID-19-related anxiety, and weight status; and (2) analyze and compare the severity of dimensions typically related to eating disorders symptomatology and body image in individuals with different COVID-19-related stress, COVID-19-related anxiety, and weight status. Read More

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Impact of the COVID-19 Pandemic on Physical Activity and Sedentary Behaviour: A Qualitative Study in a Canadian City.

Int J Environ Res Public Health 2021 04 22;18(9). Epub 2021 Apr 22.

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada.

Public health measures introduced to combat the COVID-19 pandemic have impacted the physical activity, health, and well-being of millions of people. This grounded theory study explored how the COVID-19 pandemic has affected physical activity and perceptions of health among adults in a Canadian city (Calgary). Twelve adults (50% females; 20-70 years) were interviewed between June and October (2020) via telephone or videoconferencing. Read More

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Standing Breaks in Lectures Improve University Students' Self-Perceived Physical, Mental, and Cognitive Condition.

Int J Environ Res Public Health 2021 04 15;18(8). Epub 2021 Apr 15.

Institute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, Germany.

While adolescents and adults should limit high levels of sedentary behavior, university students spend large amounts of time on sedentary activities. The aim of this study was to investigate the effect of this prolonged sitting on students' self-perceived physical, mental, and cognitive condition and to answer the question of whether simple standing breaks in lectures can help students improve these conditions and for example feel more concentrated, motivated, or less tense in class. A five-minute standing break was introduced using a designed presentation slide for one semester in five different 90-min lectures. Read More

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"If You Can't Control the Wind, Adjust Your Sail": Tips for Post-Pandemic Benefit Finding from Young Adults Living with Multiple Sclerosis. A Qualitative Study.

Int J Environ Res Public Health 2021 04 14;18(8). Epub 2021 Apr 14.

Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy.

The COVID-19 outbreak has impacted the wellbeing of people worldwide, potentially increasing maladaptive psychological responses of vulnerable populations. Although young adults with multiple sclerosis (yawMS) might be at greater risk of developing psychological distress linked to the pandemic, they might also be able to adapt to stress and find meaning in adverse life events. The aim of the present study was to explore benefit finding in response to the pandemic in a sample of yawMS. Read More

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Impact of New Clinical Policies during the COVID-19 Pandemic on Clinical Incidents and Complaints at a UK Teaching Hospital.

Int J Environ Res Public Health 2021 04 9;18(8). Epub 2021 Apr 9.

Division of Family Health, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, UK.

Background: To investigate any associations between new clinical policies implemented because of the COVID-19 pandemic and harm to patients.

Methods: Retrospective data collection of incidents and complaints reported through Datix, and the Patient Advice and Liaison Service (PALS), respectively. The setting was the Family Health division in a University teaching hospital in the UK. Read More

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Behavioral Implementation and Compliance of Anti-Epidemic Policy in the COVID-19 Crisis.

Int J Environ Res Public Health 2021 04 4;18(7). Epub 2021 Apr 4.

School of Politics and Public Administration, South China Normal University, Guangzhou 510006, China.

Different countries have introduced different urgent policies to control the spread of the novel coronavirus. The compliance behavior of these anti-epidemic policies has always been an important concern to governments, and its effects need to be tested. In recent years, many scholars have paid attention to the mechanism and intervention of policy compliance behavior, which helps to explain the mechanism of anti-epidemic compliance behavior, and to improve the effectiveness of anti-epidemic policy. Read More

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Valsartan Dosage on Ventriculo-Vascular Coupling Index Dose-Dependency in Heart Failure Patients.

Yonsei Med J 2021 May;62(5):391-399

Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea.

Purpose: Heart failure (HF) poses significant morbidity and mortality. Recently, the ventriculo-vascular coupling index (VVI) was introduced as an independent prognostic factor reflective of the overall cardiovascular performance index in HF. We aimed to determine the effectiveness of force-titration of valsartan on VVI values in HF patients. Read More

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Impact of strategic use of antiretroviral therapy intervention to the HIV continuum of care in 13 cities in Indonesia: an interrupted time series analysis.

AIDS Res Ther 2021 Apr 26;18(1):22. Epub 2021 Apr 26.

Health Sciences Building, College of Medicine and Public Health, Flinders University, Sturt Rd Bedford Park, Adelaide, SA, 5042, Australia.

Background: In 2013 the Indonesian government introduced the strategic use of antiretroviral therapy (SUFA) initiative of expanding access to HIV test and treatment, to help achieve the UNAIDS 90-90-90 targets. However, there has been no comprehensive evaluation of the impact of this intervention in Indonesia. We conducted an interrupted time series (ITS) analysis across 6-years to assess its immediate and medium-term impact. Read More

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Introduction, Transmission Dynamics, and Fate of Early SARS-CoV-2 Lineages in Santa Clara County, California.

J Infect Dis 2021 Apr 21. Epub 2021 Apr 21.

Department of Laboratory Medicine, University of California, San Francisco, California, USA.

We combined viral genome sequencing with contact tracing to investigate introduction and evolution of SARS-CoV-2 lineages in Santa Clara County, California from January 27 to March 21, 2020. Of 558 persons with COVID-19, 101 genomes from 143 available clinical samples comprised 17 different lineages including SCC1 (n=41), WA1 (n=9, including the first 2 reported deaths in the United States, diagnosed post-mortem), D614G (n=4), ancestral Wuhan Hu-1 (n=21), and 13 others (n=26). Public health intervention may have curtailed the persistence of lineages that appeared transiently during February-March. Read More

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Orthopaedic surgeons' perceptions and attitudes on COVID-19 related changes in practice: an international cross-sectional survey.

Pan Afr Med J 2021 28;38:96. Epub 2021 Jan 28.

Department of Orthopaedic Surgery, Centre Hospitalier du Mans, Le Mans, France.

Introduction: the purpose of this study was to assess the orthopaedic surgeons' perceptions and attitudes on COVID-19 related changes in their practice.

Methods: an online survey was shared with orthopaedic surgeons practicing in different countries.

Results: this study showed that orthopaedic surgery plan management was adapted to respond more effectively to the COVID-19 pandemic while maintaining the continuity of health care and ensuring protection of medical staff and patients. Read More

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Preventing COVID-19 spread in closed facilities by regular testing of employees-An efficient intervention in long-term care facilities and prisons?

PLoS One 2021 22;16(4):e0249588. Epub 2021 Apr 22.

Department of Applied Computer- and Biosciences, University of Applied Sciences Mittweida, Mittweida, Germany.

Background: Different levels of control measures were introduced to contain the global COVID-19 pandemic, many of which have been controversial, particularly the comprehensive use of diagnostic tests. Regular testing of high-risk individuals (pre-existing conditions, older than 60 years of age) has been suggested by public health authorities. The WHO suggested the use of routine screening of residents, employees, and visitors of long-term care facilities (LTCF) to protect the resident risk group. Read More

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Community-led HIV self-testing for men who have sex with men in Lebanon: lessons learned and impact of COVID-19.

Health Res Policy Syst 2021 Apr 21;19(Suppl 1):50. Epub 2021 Apr 21.

World Health Organization Country Office, Beirut, Lebanon.

Background: In Lebanon, HIV is concentrated in both native and refugee communities of men who have sex with men (MSM). For over 10 years, the National AIDS Program (NAP) has offered HIV voluntary counselling and testing through a partnership with nongovernmental organizations (NGOs). In 2018, implementation of HIV self-tests (HIVST) was introduced, and this self-care intervention has been further scaled up during the coronavirus disease 2019 (COVID-19) pandemic. Read More

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CE: Providing Care for Caregivers During COVID-19.

Am J Nurs 2021 May;121(5):38-45

Crystal Morales is the director of nursing well-being for MedStar Health, Columbia, MD. Mary-Michael Brown is vice president of nursing practice innovation, MedStar Health. Contact author: Crystal Morales, The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com.

Abstract: Care for the Caregiver is a peer-to-peer program that provides support and guidance to clinicians who have experienced an unexpected and emotionally distressing event. Its development was preceded by communication and resolution programs that were endorsed by the Joint Commission in 2001, subsequently introduced at several U.S. Read More

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"Soldiers of the System": Maternity Care in Russia Between Bureaucratic Instructions and the Epidemiological Risks of COVID-19.

Authors:
Anna Ozhiganova

Front Sociol 2021 10;6:611374. Epub 2021 Feb 10.

Center of Medical Anthropology, Institute of Anthropology and Ethnology (RAS), Moscow, Russia.

Preventive measures taken by the Russian maternity care system in response to the COVID-19 pandemic are very tough. Supporting persons (doulas and partners) are being completely excluded from the maternity hospitals. Pregnant women and newborns are distributed in different types of hospitals according to their epidemiological status (confirmed, suspected, contact, or "clear"). Read More

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February 2021

Contact tracing apps for the COVID-19 pandemic: a systematic literature review of challenges and future directions for neo-liberal societies.

Health Inf Sci Syst 2021 Dec 13;9(1):18. Epub 2021 Apr 13.

School of Psychology, Liverpool John Moores University, Tom Reilly Building, Liverpool, UK.

Purpose: The COVID-19 pandemic has spread with increased fatalities around the world and has become an international public health crisis. Public health authorities in many countries have introduced contact tracing apps to track and trace infected persons as part of measures to contain the spread of the Severe Acute Respiratory Syndrome-Coronavirus 2. However, there are major concerns about its efficacy and privacy which affects mass acceptance amongst a population. Read More

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December 2021

Expanding medical student interaction in neurology with a redesigned student interest group in neurology (sign) chapter.

BMC Med Educ 2021 Apr 17;21(1):217. Epub 2021 Apr 17.

Department of Neurology, University of Missouri-Columbia School of Medicine, Columbia, MO, USA.

Background: Student Interest Group in Neurology (SIGN) chapters across the medical schools in the United States provide opportunities for medical students to participate in clinical, research, and service activities in neurology. Despite these, applicants for the field of neurology have traditionally been low.

Methods: Following changes were introduced: an open board style SIGN chapter executive committee with greater active engagement of first and second year students. Read More

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How the experience of medical assistance in dying changed during the COVID-19 pandemic in Canada: a qualitative study of providers.

CMAJ Open 2021 Apr-Jun;9(2):E400-E405. Epub 2021 Apr 16.

Department of Family Medicine (Wiebe), University of British Columbia, Vancouver, BC; University of London (Kelly), London, UK; University of Ontario Institute of Technology (McMorrow), Oshawa, Ont.; Université de Sherbrooke (Tremblay-Huet), Sherbrooke, Que.; University of British Columbia (Sum, Hennawy), Vancouver, BC.

Background: In March 2020, all levels of government introduced various strategies to reduce the impact of the COVID-19 pandemic. The purpose of this study was to document how the experience of providing medical assistance in dying (MAiD) changed during the COVID-19 pandemic.

Methods: We conducted a qualitative study using semistructured interviews with key informants in Canada who provided or coordinated MAiD before and during the COVID-19 pandemic. Read More

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Postoperative malignant hyperthermia confirmed by calcium-induced calcium release rate after breast cancer surgery, in which prompt recognition and immediate dantrolene administration were life-saving: a case report.

J Med Case Rep 2021 Apr 17;15(1):201. Epub 2021 Apr 17.

Department of Anesthesia, Tokyo Medical University, 6-7-1 Nishi-shinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.

Background: Malignant hyperthermia (MH) is a rare genetic disease characterized by the development of very serious symptoms, and hence prompt and appropriate treatment is required. However, postoperative MH is very rare, representing only 1.9% of cases as reported in the North American Malignant Hyperthermia Registry (NAMHR). Read More

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SARS-CoV-2 infection in schools in a northern French city: a retrospective serological cohort study in an area of high transmission, France, January to April 2020.

Euro Surveill 2021 04;26(15)

Direction de la recherche médicale, Institut Pasteur, Paris, France.

BackgroundChildren's role in SARS-CoV-2 epidemiology remains unclear. We investigated an initially unnoticed SARS-CoV-2 outbreak linked to schools in northern France, beginning as early as mid-January 2020.AimsThis retrospective observational study documents the extent of SARS-CoV-2 transmission, linked to an affected high school (n = 664 participants) and primary schools (n = 1,340 study participants), in the context of unsuspected SARS-CoV-2 circulation and limited control measures. Read More

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The impact of childhood pneumococcal conjugate vaccine immunisation on all-cause pneumonia admissions in Hong Kong: A 14-year population-based interrupted time series analysis.

Vaccine 2021 May 12;39(19):2628-2635. Epub 2021 Apr 12.

School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China; Centre for Mathematical Modelling of Infectious Diseases, Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.

Background: Nine years after the introduction of pneumococcal conjugate vaccine (PCV) in the United States, Hong Kong (HK) introduced the vaccine to its universal childhood immunisation programme in 2009. We aimed to assess the impact of childhood PCV immunisation on all-cause pneumonia (ACP) admissions among the overall population of HK.

Methods: In this population-based interrupted time series analysis, we used territory-wide population-representative electronic health records in HK to evaluate the vaccine impact. Read More

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Pneumococcal vaccine implementation in the African meningitis belt countries: the emerging need for alternative strategies.

Expert Rev Vaccines 2021 Apr 29:1-11. Epub 2021 Apr 29.

Department of Paediatrics, University Hospitals of Geneva, Geneva, Switzerland.

: Besides meningococcal disease, the African meningitis belt (AMB) region is also affected by pneumococcal disease. Most AMB countries have introduced pneumococcal conjugate vaccines (PCV) following a schedule of three primary doses without a booster or a catch-up campaign. PCV is expected to help control pneumococcal disease through both direct and indirect effects. Read More

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Analysis of disability for HIV disease in 2010-2018.

Epidemiol Mikrobiol Imunol 2021 ;70(1):26-31

The present paper analyses the development of invalidity in people living with HIV over a nine-year period from 2010 to 2018. The disability assessment criteria currently in place were introduced in 2010 and are legally regulated. The paper draws from the Czech Social Security Administration data to analyse the incidence of invalidity as a result of HIV infection compared to other diseases in the Czech population. Read More

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Association between participation in the government subsidy programme for domestic travel and symptoms indicative of COVID-19 infection in Japan: cross-sectional study.

BMJ Open 2021 04 13;11(4):e049069. Epub 2021 Apr 13.

Division of General Internal Medicine and Health Services Research, UCLA David Geffen School of Medicine, Los Angeles, California, USA.

Objective: To investigate the association between participation in government subsidies for domestic travel (subsidise up to 50% of all travel expenses) introduced nationally in Japan on 22 July 2020 and the incidence of symptoms indicative of COVID-19 infections.

Design: Cross-sectional analysis of nationally representative survey data.

Setting: Internet survey conducted between 25 August and 30 September 2020 in Japan. Read More

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Progesterone protocol versus gonadotropin-releasing hormone antagonist protocol in women with polycystic ovarian syndrome undergoing fertilization treatments with frozen-thawed embryo transfer: a prospective randomized controlled trial.

Ann Transl Med 2021 Mar;9(5):387

Department of Assisted Reproductive Medicine, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.

Background: Exogenous progestational agents have recently been introduced as an alternative pituitary modulator for the prevention of premature luteinizing hormone (LH) surges during in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatments. There is increasing evidence that frozen-embryo transfer (FET) is associated with a lower risk of ovarian hyperstimulation syndrome (OHSS) in women with polycystic ovary syndrome (PCOS). Herein, we compared the clinical outcomes of the progesterone protocol with the gonadotropin releasing hormone antagonist (GnRH-ant) protocol in PCOS patients with a ''freeze-all'' strategy. Read More

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The effect of the reformed nurse staffing policy on employment of nurses in Korea.

Nurs Open 2021 Apr 10. Epub 2021 Apr 10.

Department of Nursing, Andong National University, Andong, Korea.

Aim: This study aims to analyse the employment effect of reformed nurse staffing policy which is the "Integrated Nursing and Care Service" scheme that was introduced by the Korean government.

Design: Economic evaluation study focusing on employment effect.

Method: An input-output model was used to estimate the employment-inducing effect of the new staffing policy. Read More

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